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Medical Forum / Diseases and Disorders / Sinusitis / October 2006

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Theoretical osteomyelitis scenario

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Susan - 30 Oct 2006 22:44 GMT
I've just recently received the disturbing news that an MRI of my foot
shows remarkable damage occuring to bones, tendons, and a very rare
spontaneous heel fracture.  I also have active arthritis on my instep,
something that occurred in this location with acute Lyme infection years
ago, causing damage in this very location.

It's possible, though doubtful because I'm so very tightly controlled as
 a type 2 DM that this is neuropathic to at least some degree.  It's
likely that at least some of what is going on is infectious, but it may
not only be Lyme just because it was before (in the past, I was crippled
by arthritis in acute episodes 7 years apart).

Is it possible that infection of the ethmoid bone could migrate and take
up residence in my foot?

I've read that conditions such as mine in diabetics not infrequently end
up with amputations, so I'm very concerned. I'm in a soft cast, refusing
to be completely immobilized.  I may add crutches so I can get out more.

I'm hoping to get better MRI studies to try and differentiate infection
from neuroarthropathy, I will ask for biopsy, and I'm prepared to beg
for IV ceftriaxone at this point.

Anything else I should be asking for?

Susan
ilaboo - 30 Oct 2006 23:54 GMT
> x-no-archive: yes
>
[quoted text clipped - 9 lines]
> be Lyme just because it was before (in the past, I was crippled by
> arthritis in acute episodes 7 years apart).

susan with the human body sometimes you really cannot say yes its possible
to get an infection form infected sinuses in your heeel--highly unlikely

rfememberf whithe blood cells do not like to swin in high concentration of
glucose

susan as a surgivcal physician assistant patients do very well with asn
amputated foot..alternatives to chronuc osteomylitis is constat surgery
antibiotics--very difficult to treat and control

thdre are imaging techniques to differentiat active infection in bone--can
be very nasty to treat--do you have any fistular tractics or any drainage?

extremely important to get you type 2 dm under control--best treatment is
very serious weight loss--very difficult to do

if you are placed on insulin--tend to do this much more these days it will
be very diffficult to control you dm--instead of urinating our your glucose
it will be converted to fat with insulin

susan dot fool with osteomyitis of the foot--i suggest you see a orthopedic
surgeon in your area--they have tons of experience trating this
condition=--try to create a very warm therapeutic relationship as osteo can
be a touch and go chronic condition

i hth

peter

Is it possible that infection of the ethmoid bone could migrate and take
> up residence in my foot?
>
[quoted text clipped - 9 lines]
>
> Susan
Susan - 31 Oct 2006 00:13 GMT
> susan as a surgivcal physician assistant patients do very well with asn
> amputated foot..

Oh, for crap's sake!

alternatives to chronuc osteomylitis is constat surgery
> antibiotics--very difficult to treat and control
>
> thdre are imaging techniques to differentiat active infection in bone--can
> be very nasty to treat--do you have any fistular tractics or any drainage?

No, I never get non healing wounds or ulcers.

> extremely important to get you type 2 dm under control--best treatment is
> very serious weight loss--very difficult to do

ExCUSE me, but my HbA1c is 5.2%, I rarely have glucose above 113, even
after meals, and I am not overweight.

> if you are placed on insulin--tend to do this much more these days it will
> be very diffficult to control you dm--instead of urinating our your glucose
> it will be converted to fat with insulin

I have no intention of every being insulin dependent, that's why I
tightly control my bg with diet.

> susan dot fool with osteomyitis of the foot--i suggest you see a orthopedic
> surgeon in your area--they have tons of experience trating this
> condition=--try to create a very warm therapeutic relationship as osteo can
> be a touch and go chronic condition

I don't expect it to be chronic, I expect to get it biopsied, imaged to
see if that's what I have, and I expect to get it treated and cured.  I
have an excellent foot surgeon, but I'll be damned if he's going to cut
off my f.cking foot.

Thanks anyway.

Anyone else with something actually *useful* to add?

Susan
ilaboo - 31 Oct 2006 06:04 GMT
susan

i should ahve been more specific --- pururelent foul multiple discharge
tracks(fistulas) is my senario

hth
osteo is a nasty disease to treat
> x-no-archive: yes
>
[quoted text clipped - 40 lines]
>
> Susan
Susan - 31 Oct 2006 14:13 GMT
> susan
>
> i should ahve been more specific --- pururelent foul multiple discharge
> tracks(fistulas) is my senario

I never mentioned those, did I?

Susan
ilaboo - 31 Oct 2006 21:03 GMT
no--i made a mistake
> x-no-archive: yes
>
[quoted text clipped - 6 lines]
>
> Susan

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